DR. THEODORE OTVOS (NPI# 1609963933) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609963933 |
| Entity Type | Individual |
| Full Name | DR. THEODORE OTVOS |
| Credential | PH.D. |
| Practice Address |
4201 Long Beach Blvd Ste.230 Long Beach CA 90807-2007 |
| Practice Telephone | 5629881000 |
| Practice Fax Number | 5624265211 |
| Mailing Telephone | 5629881000 |
| Mailing Fax Number | 5624265211 |
| Enumeration Date | 2006-10-06 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | PSY17939 | CA | Behavioral Health & Social Service Providers |
| Street Address |
4201 LONG BEACH BLVD STE.230 |
| City | LONG BEACH |
| State | CA |
| Zip Code | 90807-2007 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346218625 | Mariusz Wirga | Psychiatry & Neurology | 4201 Long Beach Blvd, Ste 203, Long Beach, CA 90807-2020 | 2006-03-10 |
| 1407416837 | Lakpa L Sherpa | Family Medicine | 4201 Long Beach Blvd, Long Beach, CA 90807-2007 | 2019-06-18 |
| 1013435585 | Marget C Thomas | Psychologist | 4201 Long Beach Blvd, Long Beach, CA 90807-2007 | 2017-09-05 |
| 1386171080 | Lucy Wall | Student in an Organized Health Care Education/Training Program | 4201 Long Beach Blvd, Long Beach, CA 90807-2007 | 2017-05-12 |
| 1467823120 | Katya Naman | Psychologist | 4201 Long Beach Blvd, Suite 406, Long Beach, CA 90807-2007 | 2015-10-07 |
| 1306232988 | Access Imaging, LLC | Clinic/Center | 4201 Long Beach Blvd, 400, Long Beach, CA 90807-2007 | 2015-04-10 |
| 1356755227 | Wendy Morgan | Marriage & Family Therapist | 4201 Long Beach Blvd, 406, Long Beach, CA 90807-2007 | 2014-06-18 |
| 1669883450 | Kimberley Monosson | Marriage & Family Therapist | 4201 Long Beach Blvd, Suite 230, Long Beach, CA 90807-2007 | 2014-05-14 |
| 1598183022 | Asita Aminian | Marriage & Family Therapist | 4201 Long Beach Blvd, Long Beach, CA 90807-2007 | 2014-04-01 |
| 1689961252 | National Council On Alcoholism and Drug Dependence-long Beach | Community/Behavioral Health | 4201 Long Beach Blvd, Suite 300, Long Beach, CA 90807-2007 | 2011-07-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992359434 | Kanna Lynn Curtis | Behavioral Analyst | 3491 Elm Avenue, Long Beach, CA 90807 | 2019-08-01 |
| 1891359394 | David Smith Samuel Tchon Dds Inc | Dentist | 4231 Long Beach Blvd, Long Beach, CA 90807 | 2019-04-30 |
| 1477038354 | Ryan Bacani | Registered Nurse | 4506 N Banner Drive Apt 3, Long Beach, CA 90807 | 2018-09-26 |
| 1508363516 | Joemari Salvani | Dentist | 4578 Atlantic Avenue, Long Beach, CA 90807 | 2018-04-07 |
| 1881110096 | Shafeeullah Hashim Gaines | Counselor | 4335 Altantic Ave, Long Beach, CA 90807 | 2017-08-18 |
| 1295259943 | Debresia Jackson | Community Health Worker | 900 E. Wardlow Rd, Long Beach, CA 90807 | 2017-08-02 |
| 1073036315 | United Mobile Rad LLC | Radiologic Technologist | 1720 E Cartagena St, Long Beach, CA 90807 | 2017-07-19 |
| 1336675800 | La-pham and Kansagra Dental Corporation | Dentist | 4578 Atlantic Ave, Long Beach, CA 90807 | 2017-05-03 |
| 1114462637 | Andunett Langhum | Counselor | 4335 Atlantic Blved, Long Beach, CA 90807 | 2016-12-20 |
| 1942742507 | Mt Medical Transportation LLC | Non-emergency Medical Transport (VAN) | 3646 Long Beach Blvd Ste 212, Long Beach, CA 90807 | 2016-11-14 |
| Find all providers in zip 90807 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275147316 | Molly Tucker | Psychologist | 536 Linden Ave Apt 403, Long Beach, CA 90802-2448 | 2020-09-05 |
| 1689158719 | Elizabeth Anne Mulherron | Psychologist | 1439 Cedar Ave Apt 1, Long Beach, CA 90813-1731 | 2018-09-25 |
| 1861893141 | Juliana Larossa-dzerens | Psychologist | 60 Franklin Blvd, Unit A, Long Beach, NY 11561-4530 | 2014-09-05 |
| 1457783862 | Gretchen Louise Sholty | Psychologist | 5901 E. 7th St (06/116b), Long Beach, CA 90822 | 2013-08-08 |
| 1366749699 | Jennifer Lee Rousch | Psychologist | 5500 E Atherton St Ste 310, Long Beach, CA 90815-4022 | 2011-02-23 |
| 1487985396 | Stephanie Jacobs | Psychologist | 1140 E Ocean Blvd Unit 124, Long Beach, CA 90802 | 2010-01-18 |
| 1710155171 | Mark H Michaels | Psychologist | 110 Pine Ave., #1070, Long Beach, CA 90802 | 2008-02-19 |
| 1689850927 | Vonda Loretta Pelto | Psychologist | 3310 El Dorado Dr, Long Beach, CA 90808 | 2008-01-17 |
| 1972797660 | Lateefh Wielenga | Psychologist | 3531 Julian Ave, Long Beach, CA 90808-3111 | 2007-09-05 |
| 1578765020 | Leah Sharon Levenson | Psychologist | 6120 Beatline Rd, Long Beach, MS 39560-2509 | 2007-06-05 |
| Find all providers in LONG BEACH | ||||
| City | LONG BEACH |
| Zip Code | 90807 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.